Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE EDWARD WALLACE, DC
ActiveSHANE EDWARD WALLACE, DC is a Chiropractor healthcare provider located in BROOKLYN, Michigan. NPI 1639753239 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · BROOKLYN, MI
Registration Details
- NPI Number
- 1639753239
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2021 (5.2654672630837 yrs)
- Last Updated
- May 10, 2021
- License
-
2301011096 (MI)
Practice Information
- Address
-
9909 WAMPLERS LAKE RDBROOKLYN, MI, 492309503Browse MI providers · Browse ZIP 49230
- Phone
- 5175928208
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in BROOKLYN, MI
| Name | Credential | NPI |
|---|---|---|
| DR. GUY YOUNG CHENG | DC | 1700806064 |
| DR. EDWARD GEORGE PLENTZ | D.C | 1881771152 |
| DR. TROY D. BURK | D.C. | 1073733358 |
| DR. BRADLEY BRZEZINSKI | DC | 1679704258 |
| DR. MICHAEL DEAN CHILDS | DC | 1831667435 |
| NICOLE HENRY | DC | 1487437190 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.